Cost of a Primary Care Doctor (Family Medicine) Visit
in Montana
Reviewed by Momentary Medical Group West PC
Montana's vast rural geography presents unique challenges for primary care access, with many residents traveling significant distances to reach healthcare providers. Despite these geographic barriers, Primary Care Doctor (Family Medicine) visits in Montana maintain remarkably consistent costs, with patients typically paying between $80 and $80, and a median out-of-pocket cost of $80. With 26 active Primary Care Doctor (Family Medicine) providers statewide, patients can browse all available providers to find the most convenient location and scheduling options.
Average
$80
Median
$80
Lowest
$80
Highest
$80
Providers
26
38% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in Montana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $80 | $80 | $102 | 27 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $80 | $80 | $136 | 7 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 99214 — Office/outpatient visit, established patient, moderate complexity). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 99214 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99214 (Office/outpatient visit, established patient, moderate complexity), as mandated by the CMS Price Transparency Rule.
What CPT 99214 covers: the provider's professional fee for family medicine visit. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Top Rated Family medicine physicians in Montana
Dr. Karen Koch, DO
Family Medicine Physician · Helena, MT
Dr. Rebecca Hoover, MD
Family Medicine Physician · Missoula, MT
Dr. Laura Shelton, MD
Family Medicine Physician · Florence, MT
Dr. Allen Jones, MD
Family Medicine Physician · Hamilton, MT
Dr. Michael Kaplan, MD
Family Medicine Physician · Bozeman, MT
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across Montana
Montana's healthcare costs run approximately 4% above the national average, though Primary Care Doctor (Family Medicine) visits remain competitively priced due to the state's rural market dynamics and limited provider network. The state's expansive geography creates unique cost pressures as practices must serve large geographic areas with relatively sparse populations.
Urban vs. Rural Provider Availability
Montana's urban centers like Billings, Missoula, and Great Falls concentrate most Primary Care Doctor (Family Medicine) providers, while vast rural areas often rely on traveling physicians or telemedicine services. This geographic disparity can create cost variations based on overhead expenses and practice volume, with rural providers sometimes charging premium rates due to limited competition. Urban practices benefit from higher patient volumes and shared resources, potentially offering more competitive pricing.
Facility Type and Overhead Costs
Hospital-owned clinics affiliated with major Montana health systems like Benefis Health System or Providence St. Patrick Hospital typically carry higher overhead costs reflected in visit pricing. Independent Primary Care Doctor (Family Medicine) practices often operate with lower facility fees but may lack some of the integrated services available at hospital-based locations. The choice between these practice types affects both visit costs and available ancillary services.
Insurance Market Competition in Montana
Montana's insurance market features moderate competition among Blue Cross Blue Shield of Montana, PacificSource, and UnitedHealthcare, though BCBS Montana maintains dominant market share in many regions. This concentration allows for relatively standardized negotiated rates with Primary Care Doctor (Family Medicine) providers across the state. Limited insurer competition in rural areas can reduce pressure for competitive pricing, though regulatory oversight helps maintain reasonable rate structures.
Physician Supply and Demand in Montana
With only 26 active Primary Care Doctor (Family Medicine) providers statewide, Montana faces a moderate physician shortage relative to its population and geographic spread. This limited supply can create longer wait times for appointments, particularly in rural areas, though it hasn't significantly inflated visit costs due to insurance contract standardization. The shortage particularly affects specialty access, making family medicine physicians crucial for comprehensive primary care throughout the state.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Montana.
Follow-up, low complexity
Follow-up, moderate complexity
Follow-up, high complexity
New patient, low complexity
New patient, moderate complexity
New patient, high complexity
Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Primary Care Doctor (Family Medicine) Costs in Montana
What is the average cost of a Primary Care Doctor (Family Medicine) visit in Montana without insurance?
Does Montana Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in Montana?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Primary Care Doctor (Family Medicine) visit in Montana?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Montana?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99214)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Nebraska Range: $91 – $314 | $215 |
| 2 | New Hampshire Range: $101 – $282 | $198 |
| 3 | Iowa Range: $80 – $314 | $187 |
| 4 | Maine Range: $80 – $255 | $180 |
| 5 | Minnesota Range: $81 – $313 | $162 |
| 6 | Wisconsin Range: $73 – $313 | $161 |
| 7 | California Range: $70 – $250 | $154 |
| 8 | Wyoming Range: $80 – $251 | $152 |
| 9 | Illinois Range: $77 – $226 | $148 |
| 10 | Massachusetts Range: $80 – $271 | $144 |
| 11 | Rhode Island Range: $85 – $200 | $143 |
| 12 | North Dakota Range: $91 – $240 | $141 |
| 13 | Texas Range: $70 – $221 | $139 |
| 14 | New Mexico Range: $80 – $178 | $138 |
| 15 | Vermont Range: $107 – $166 | $138 |
| 16 | Mississippi Range: $67 – $249 | $136 |
| 17 | Michigan Range: $66 – $249 | $134 |
| 18 | South Dakota Range: $77 – $239 | $132 |
| 19 | Hawaii Range: $70 – $239 | $131 |
| 20 | New York Range: $78 – $200 | $131 |
| 21 | Pennsylvania Range: $73 – $228 | $130 |
| 22 | Louisiana Range: $69 – $222 | $130 |
| 23 | Colorado Range: $80 – $210 | $126 |
| 24 | Connecticut Range: $80 – $200 | $124 |
| 25 | Oregon Range: $80 – $204 | $124 |
| 26 | Indiana Range: $80 – $202 | $123 |
| 27 | Ohio Range: $70 – $201 | $122 |
| 28 | Georgia Range: $72 – $188 | $122 |
| 29 | South Carolina Range: $68 – $216 | $121 |
| 30 | Washington Range: $80 – $202 | $121 |
| 31 | North Carolina Range: $66 – $210 | $119 |
| 32 | Nevada Range: $48 – $182 | $118 |
| 33 | Virginia Range: $60 – $191 | $116 |
| 34 | Arkansas Range: $70 – $175 | $116 |
| 35 | West Virginia Range: $80 – $133 | $115 |
| 36 | Florida Range: $54 – $200 | $115 |
| 37 | Idaho Range: $75 – $179 | $115 |
| 38 | New Jersey Range: $53 – $188 | $113 |
| 39 | Missouri Range: $67 – $148 | $113 |
| 40 | Kansas Range: $76 – $158 | $113 |
| 41 | Maryland Range: $49 – $194 | $112 |
| 42 | District of Columbia Range: $53 – $199 | $112 |
| 43 | Kentucky Range: $80 – $170 | $110 |
| 44 | Utah Range: $60 – $180 | $110 |
| 45 | Tennessee Range: $70 – $168 | $109 |
| 46 | Oklahoma Range: $70 – $158 | $104 |
| 47 | Arizona Range: $63 – $168 | $104 |
| 48 | Alabama Range: $61 – $160 | $100 |
| 49 | Delaware Range: $58 – $123 | $91 |
| 50 | Alaska Range: $80 – $80 | $80 |
| 51 | Montana Range: $80 – $80 | $80 |